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Pertuzumab Injection, per 10 mg

South Dakota rates for HCPCS J9316 · Phesgo

Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg

Rates data updated July 2026.

How much does Phesgo cost?

$66.07per 10 mg

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $66.07 for each 10 mg of this drug. The price depends on where it is billed: about $66.07 from a physician practice, and about $66.07 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$66.07
At a hospital outpatient department
$66.07

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$66.07$61.66 to $67.61
FacilityA hospital or hospital-owned outpatient department$66.07$64.57 to $120

How much rates vary

Facilitymedian $66 · 10th to 90th $60 to $224Professionalmedian $66 · 10th to 90th $60 to $76
$100$200facility $66professional $66

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$120.23
Typical High
$223.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$61.66
Typical High
$67.61
Avera
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$64.57
Typical High
$66.07
Avera
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$63.10
Median
$93.33
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$281.84
Midlands
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$83.18
Typical High
$95.50
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$74.13
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$66.07
Typical High
$66.07

Where South Dakota sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

South Dakota· 5th of 51

$66.07

NY $69.18NH $60.26

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.